Long-term Assessment of Safety and Efficacy of BI 695501 in Patients With Rheumatoid Arthritis
- Conditions
- Arthritis, Rheumatoid
- Interventions
- Drug: BI 695501
- Registration Number
- NCT02640612
- Lead Sponsor
- Boehringer Ingelheim
- Brief Summary
The main objective of this trial is to provide long-term safety, pharmacokinetics (PK), and immunogenicity data on BI 695501 administered via prefilled syringe in patients with Rheumatoid Arthritis who have completed Trial 1297.2. The primary endpoint thereby is the number (proportion) of patients with drug-related adverse events (AEs) during the treatment phase. The secondary objective in this trial is the assessment of Long-term efficacy of BI 695501 by evaluation of:
* the change from Baseline in DAS28 (ESR) at Week 48
* the proportion of patients meeting American College of Rheumatology 20% (ACR20) response criteria at Week 48
* the proportion of patients who meet the American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) definition of remission at Week 48
* the proportion of patients with EULAR response (good response, moderate response, or no response) at Week 48.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 430
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description BI 695501 BI 695501 -
- Primary Outcome Measures
Name Time Method Percentage of Patients With Drug-related Adverse Events (AEs) During the Treatment Phase From the first drug administration until 10 weeks after the last drug administration, up to 58 weeks. The analysis of AEs was based on the concept of treatment-emergent AEs (TEAEs). Thus, all AEs with an onset after the first dose of trial drug up to a period of ten weeks after the last dose of trial drug were assigned to the current treatment for evaluation. Investigator assessed drug related AEs were AEs with a relationship to drug ticked "yes" according to the Investigator.
- Secondary Outcome Measures
Name Time Method Change From Baseline in Disease Activity Score in 28 Joints (DAS 28) by Erythrocyte Sedimentation Rate (ESR) at Week 48 Baseline and Week 48. The DAS28 (ESR) score was derived using the following formulae: DAS28 (ESR) = 0.56\*√(TJC28) + 0.28\*√(SJC28) + 0.014\*(GH) + 0.7\*ln(ESR) Where: • TJC28 = 28 joint count for tenderness • SJC28 = 28 joint count for swelling • GH = General Health component of the DAS (patient's global assessment of disease activity) • Ln (ESR) = natural logarithm of ESR. Last observation carried forward (LOCF) is the method used for handling missing components post baseline. Baseline for this trial was taken from the baseline of 1297.2. Improvement in DAS28 was also categorized using the European League Against Rheumatism (EULAR) response criteria. The DAS28 provides a number on a scale from 0 to 10 where higher values mean a higher disease activity. A DAS28 above 5.1 means high disease activity whereas a DAS28 below 3.2 indicates low disease activity. Remission is achieved by a DAS28 lower than 2.6.
Percentage of Patients Meeting American College of Rheumatology (ACR) 20% Response Criteria at Week 48 Week 48. The proportion of patients meeting the ACR20 response criteria was assessed. A patient had an ACR20 response if all of the following occurred: A ≥ 20 % improvement in the swollen joint count (66 joints), A ≥ 20 % improvement in the tender joint count (68 joints), A ≥ 20 % improvement in at least three of the following assessments: Patient's assessment of pain, Patient's global assessment of disease activity (equivalent to the General Health component of the Disease Activity Score (\[DAS\]), Physician's global assessment of disease activity, Patient's assessment of physical function, as measured by the Health Assessment Questionnaire - Disability Index (HAQ-DI) Acute phase reactant (C-reactive protein \[CRP\]).
Percentage of Patients Who Meet the American College of Rheumatology (ACR) / European League Against Rheumatism (EULAR) Definition of Remission at Week 48 Week 48. The ACR/EULAR remission criteria were based on a Boolean definition. At any time point, the patient must have satisfied all of the following:
* Tender joint count (TJC) ≤ 1
* Swollen joint count (SJC) ≤ 1
* C-reactive protein (CRP) ≤ 1 mg/dL
* Patient global assessment of disease activity ≤ 10 (on a 0 to 100 scale) For TJC and SJC, use of a 28-joint count may have missed actively involved joints, particularly in the feet and ankles. It was preferable to include the feet and ankles when evaluating remission.Percentage of Patients With European League Against Rheumatism (EULAR) Response (Good Response, Moderate Response, or no Response) at Week 48 Week 48. Percentage of patients with European League Against Rheumatism (EULAR) response (good response, moderate response, or no response) were calculated at Week 48 for assessment of this outcome measure.
No response: If improvement in DAS28 (ESR) at w48 \<=0.6, or if DAS28(ESR) at w48 \>5.1 and improvement is in range \>0.6 to \<1.2.
Moderate response: If DAS28(ESR) at w48 \<=5.1 and improvement is in range \>0.6 to \<1.2, or, DAS28(ESR) at w48 \>3.2 and improvement is in range \>=1.2.
Good response: If DAS28(ESR) at w48 \<=3.2 and improvement \>=1.2.
Trial Locations
- Locations (87)
Accurate Clinical Research, Inc.
🇺🇸Lincoln, Nebraska, United States
Medical Centre Pratia Warszawa
🇵🇱Warszawa, Poland
M.V. Sklifosovskyi Poltava RCH, Poltava
🇺🇦Poltava, Ukraine
MMA HAT Sofia, Bulgaria
🇧🇬Sofia, Bulgaria
Kemerovo SMA b/o War Veterans Regional Clinical Hospital
🇷🇺Kemerovo, Russian Federation
SI D.F.Chebotariov Institute of Gerontology of NAMSU, Kyiv
🇺🇦Kyiv, Ukraine
Practicheskaya Meditsina Ltd
🇷🇺Moscow, Russian Federation
Hospital Pulau Pinang
🇲🇾Pulau Pinang, Malaysia
Kjiv City Oleksandrivska Clinical Hospital
🇺🇦Kyiv, Ukraine
Quantum Research Santiago, Puerto Varas
🇨🇱Puerto Varas, Chile
BIOMEDICA, Santiago
🇨🇱Santiago, Chile
Csolnoky Ferenc Korhaz, Veszprem
🇭🇺Veszprem, Hungary
Medica Pro Familia Spolka Akcyjna, Oddzial w Gdyni
🇵🇱Gdynia, Poland
Gabinet Internistyczno-Reumatologiczny Piotr Adrian Klimiuk
🇵🇱Bialystok, Poland
Medical Centre Pratia Katowice I
🇵🇱Katowice, Poland
Specialist Center ALL-MED, Krakow
🇵🇱Krakow, Poland
MCBK Iwona Czajkowska Anna Podrazka- Szczepaniak S.C.
🇵🇱Grodzisk Mazowiecki, Poland
Stavropol State Medical Academy
🇷🇺Stavropol, Russian Federation
Emergency Clinical Hospital n. a. N. V. Solovyev, Yaroslavl
🇷🇺Yaroslavl, Russian Federation
SBHI of Yaroslavl Area "Clinical Hospital #3"
🇷🇺Yaroslavl, Russian Federation
Advanced Medical Research, LLC
🇺🇸Lakewood, California, United States
Science and Research Institute, Inc.
🇺🇸Jupiter, Florida, United States
Heartland Research Associates, LLC
🇺🇸San Antonio, Texas, United States
MHAT "Trimontium", OOD, Plovdiv
🇧🇬Plovdiv, Bulgaria
MHAT - Kaspela, EOOD
🇧🇬Plovdiv, Bulgaria
Corporacion de Beneficencia Osorno
🇨🇱Osorno, Chile
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klin. Kozpont
🇭🇺Szeged, Hungary
STAT Research, Incorporated
🇺🇸Dayton, Ohio, United States
Rheumatology Clinic Of Houston, P.A.
🇺🇸Houston, Texas, United States
Adriana Pop Moody Clinic PA
🇺🇸Corpus Christi, Texas, United States
Clinical Research of West Florida, Inc.
🇺🇸Tampa, Florida, United States
MHAT,Fourth Dept. of Therapeutics & Cardiology, Ruse
🇧🇬Ruse, Bulgaria
CINVEC - Centro de Investigacion Clinica V Reg.,Vina del Mar
🇨🇱Viña del Mar, Chile
Pärnu Hospital, Pärnu
🇪🇪Pärnu, Estonia
MHAT "Eurohospital" - Plovdiv, OOD
🇧🇬Plovdiv, Bulgaria
MDHAT 'Dr. Stefan Cherkezov', AD
🇧🇬Veliko Tarnovo, Bulgaria
Hospital Tengku Ampuan Afzan
🇲🇾Kuantan, Malaysia
Seoul National University Hospital
🇰🇷Seoul, Korea, Republic of
Rheumazentrum Prof. Dr. G. Neeck, Bad Doberan
🇩🇪Bad Doberan, Germany
Danville Orthopedic Clinic, Incorporated
🇺🇸Danville, Virginia, United States
UMHAT Sv. Ivan Rilski EAD
🇧🇬Sofia, Bulgaria
Szpital Uniwersytecki nr 2 im.dr J. Biziela
🇵🇱Bydgoszcz, Poland
Wojewodzki Szpital Zespolony w Elblagu
🇵🇱Elblag, Poland
Medical Centre Pratia Krakow
🇵🇱Krakow, Poland
Institute for Treatment and Rehabilitation, Niska Banja
🇷🇸Niska Banja, Serbia
L.T. Malaya Institute of Therapy AMS of Ukraine
🇺🇦Kharkiv, Ukraine
Wojewodzki Szpital Specjalistyczny we Wroclawiu
🇵🇱Wroclaw, Poland
General Hospital "Dr Laza K. Lazarevic" Sabac, Sabac
🇷🇸Sabac, Serbia
Republic Kareliya Republican Hosp. named after V.A. Baranov
🇷🇺Petrozavodsk, Russian Federation
Samara Regional Clinical Hospital n.a MI Kalinin, Samara
🇷🇺Samara, Russian Federation
Hospital Universitario de Cruces
🇪🇸Barakaldo, Spain
Ivano-Frankivsk Nat. Medical University, Dept. Endocrinology
🇺🇦Ivano-Frankivsk, Ukraine
M.I. Pyrogov VRCH, Vinnytsia
🇺🇦Vinnytsia, Ukraine
MCIC MC LLC Health Clinic, Vinnytsia
🇺🇦Vinnytsia, Ukraine
Zaporizhzhia Regional Clinical Hospital, Zaporizhzhia
🇺🇦Zaporizhzhia, Ukraine
Accurate Clinical Management LLC
🇺🇸Houston, Texas, United States
Pinnacle Research Group, LLC
🇺🇸Anniston, Alabama, United States
Arizona Arthritis and Rheumatology Research, PLLC
🇺🇸Phoenix, Arizona, United States
Inland Rheumatology Clinical Trials, Inc.
🇺🇸Upland, California, United States
TriWest Research Associates, LLC
🇺🇸El Cajon, California, United States
San Marcus Research Clinic, Inc.
🇺🇸Miami, Florida, United States
L&C Professional Medical Research Institute
🇺🇸Miami, Florida, United States
Lovelace Scientific Resources, Incorporated
🇺🇸Venice, Florida, United States
Arthritis Education and Treatment Center
🇺🇸Grand Rapids, Michigan, United States
Clinical Pharmacology Study Group
🇺🇸Worcester, Massachusetts, United States
Albuquerque Center For Rheumatology
🇺🇸Albuquerque, New Mexico, United States
Goldpoint Clinical Research, LLC
🇺🇸Indianapolis, Indiana, United States
Clinical Research Source, Inc.
🇺🇸Toledo, Ohio, United States
Center for Inflammatory Disease
🇺🇸Nashville, Tennessee, United States
Accurate Clinical Research, Incorporated
🇺🇸Houston, Texas, United States
MHAT Shumen AD, Shumen
🇧🇬Shumen, Bulgaria
Arthritis & Osteoporosis Associates LLP
🇺🇸Lubbock, Texas, United States
Arthritis Northwest, PLLC
🇺🇸Spokane, Washington, United States
Medical Center "Teodora", EOOD, Ruse
🇧🇬Ruse, Bulgaria
Centro Medico Prosalud
🇨🇱Santiago, Chile
Medita Kliinik OÜ, Tartu
🇪🇪Tartu, Estonia
Chungnam National University Hospital
🇰🇷Daejeon, Korea, Republic of
Niepubliczny ZOZ, "Nasz Lekarz", Lekarzy Rodzinnych z
🇵🇱Torun, Poland
Reumatika, Rheumatology Center, non-public outpatient clinic
🇵🇱Warszawa, Poland
Institute of Rheumatology, Belgrade
🇷🇸Belgrade, Serbia
Hospital Clínico de Santiago
🇪🇸Santiago de Compostela, Spain
Clinical Center of Vojvodina
🇷🇸Novi Sad, Serbia
Siriraj Hospital
🇹🇭Bangkok, Thailand
CI of Healthcare Kharkiv CCH #8, Kharkiv
🇺🇦Kharkiv, Ukraine
SI NSC M.D. Strazhesko Institute Cardiology of NAMSU, Kyiv
🇺🇦Kyiv, Ukraine
Orthopedic Research Institute
🇺🇸Boynton Beach, Florida, United States
Hosp. Nuestra Señora de la Esperanza, Santiago de Compostela
🇪🇸Santiago de Compostela, Spain